Individual
MARINA POLIAKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6803 MAYFIELD RD, SUITE 403, MAYFIELD HTS, OH 44124-2271
(440) 312-1969
(440) 312-1969
Mailing address
9313 LARIMAR DR, WILLOWICK, OH 44095-5249
(216) 862-8063
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35077135
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2747237
—
OH
05
—
3867949
—
TN
Enumeration date
04/21/2006
Last updated
01/23/2014
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